• The Korean Journal of Pain
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• v.26 no.2
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• pp.203-206
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• 2013

There have been reports of abnormalities in the lumbosacral region involving a lower-than-normal termination of the dural sac, which is caused by disease or anatomical variation. Inadvertent dural puncture or other unexpected complications can occur during caudal epidural block or adhesiolysis in patients with these variations, but only a small number of case reports have described this issue. We report a case of dural puncture by the introducer needle before attempting caudal epidural adhesiolysis, which occurred even though the needle was not advanced upward after penetrating the sacrococcygeal ligament. Dural puncture was caused by a morphological abnormality in the lumbosacral region, with no pathological condition; the dural sac terminal was located more distally than normal. However, dural puncture could have been prevented if we had checked for such an abnormality in the magnetic resonance imaging (MRI) taken before the procedure.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2009.06a
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• pp.167-168
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• 2009

As the rapid increase of the container trade, most of the container terminals strive to improve the container handling productivity. Therefore, they consider to find efficient operating strategies and to introduce new container handling facilities. In terms of equipment, there are a variety of types of quay cranes. Single-lift crane operates only one container regardless of size and twin-lift crane operates two 20' containers or one 40' container simultaneously. Tandem crane, recently introduced, can operate four 20' containers or two 40' containers simultaneously. In this paper, we propose the mathematical model and the solution procedure of the ship loading scheduling problem for the tandem crane.

• Journal of Microbiology
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• v.35 no.3
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• pp.213-221
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• 1997

The secretion of the alkaliphilic Bacillus sp. S-1 extracellular pullulanase involves translocation across the cytoplasmic membrane of the Gram-positive bacterial cell envelope. Translocation of the intracellular pullulanase PUL-I, was traced to elucidate the mechanism and pathway of protein secretion from an alkaliphilic Bacillus sp. S-1. Pullulanase could be slowly bue quantitatively released into the medium during growth of the cells in medium contianing proteinase K. The released pullulanase lacked the N-terminal domain. The N-terminus is the sole membrane anchor in the pullulanase protein and was not affected by proteases, confirming that it is not exposed on the cell surface. Processing of a 180,000M$\_$r/ pullulanase to a 140,000M$\_$r/ polypeptide has been demonstrated in cell extracts using antibodies raised against 140,000M$\_$r/ extracellular form. Processing of the 180,000 M$\_$r/ protein occured during the preparation of extracts in an alkaline pH condition. A modified rapid extraction procedure suggested that the processing event also occured in vivo. Processing apparently increased the activity of pullulanase. The western blotting analysis with mouse anti-serum against 140-kDa extracellular pullulanase PUL-E showed that PUL-I is processed into PUL-X via intermediate form of PUL-E. Possible explanationa for the translocation are discussed.

• Journal of the Korean Society for Aviation and Aeronautics
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• v.30 no.4
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• pp.132-144
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• 2022

In response to the recent surge in aviation demand, major airport and aviation authorities continue to make efforts to formulate arrival procedures that take into account efficient aircraft separation, noise and environmental issues related to carbon (CO₂) emissions. In order to ensure efficient traffic control and environmental issues, as a result, a new concept Trombone, Point Merge, etc. have been introduced and widely used. However, these new concept incisions are becoming a factor that hinders operational efficiency and stability due to the restricted domestic airspace such as military airspace and excessive constraints of altitude, speed, etc. which do not reflect the concept of continuous descent operation and eventually needs to be modified to make continuous descent operation as feasible as possible. We herewith analyze and propose the way of improving flight safety and efficiency in the arrival operation procedure by supplementary modification which consequently contribute to the aviation industry international competitiveness.

• Journal of Hospice and Palliative Care
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• v.10 no.1
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• pp.35-42
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• 2007

Purpose: Colorectal ranter is the 4th leading cause of cancer death in Korea and the prevalence is increasing continuously. This study was aimed to figure out the problems through the clinical consideration about terminal colorectal ranter patients who had died in hospice unit. Methods: We retrospectively reviewed the medical records in 78 patients with colorectal ranter who had admitted, received palliative care, and died in a hospice unit between April 2003 and November 2006. Results: The median age of patients was 59.6 years with 45 men (58%) and 24 women (42%). The median survival in hospice and palliative care was 36 days. The median hospitalization was 22 days. The most prevalent reason for admission was pain (38 patients, 49%), and the most common symptom was also pain (70 patients, 90%). Forty eight patients (62%) took analgesics before hospice referral. Twenty seven patients (65%) of 45 patients with intestinal obstruction have been performed palliative procedures. Median survival of patients with palliative procedure was higher than that of no palliative procedure group (47 days vs 19 days, P-value=0.005). Conclusion: The duration of hospice and palliative care was not enough to care the terminal colorectal cancer. Therefore, we suggest that proper education and information should be provided to physician, patients and their family members for effective hospice and palliative care.

• Journal of Hospice and Palliative Care
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• v.5 no.2
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• pp.94-100
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• 2002

Purpose : The system to refer terminally ill patients to palliative or hospice care which ultimately give them emotional, psychological, and social support hasn't been fully developed and organized yet in Korea. The controversies concerning the current referral system are being analyzed to present the improvements. Methods : The questionnaires were asked to be filled out by family members of the 76 patients by phone interview, who were referred from the Seoul National University Hospital between April, 2001 to March, 2002. They were referred to the 35 palliative and hospice care-giving institutes and hospitals which were given questionnaires by mail. Results : Of the 76 patient's family members, 47 family members accepted to answer the questionnaire. The first thing that influence to family to determine the referral of patient was solicitation of doctors or nurses (44%). And they were influenced by allowance for the other things such as convenience of patients (32%), convenience of caring family members (24%). In the course of determining of referred institutes, responders had considered at first their dwelling area, and then fame of institutes, the place which patent had wanted to spend last hours or which is suitable for patient's funeral service, and their financial condition. Thirty-eight the 47 responders answered that they had experienced difficulties in referral procedure. The worst among difficulties was unwanted discharge, and followings were lack of information about the referred institutes, concern about patient's suffering, resistance of patient and opposition of other family members, etc. Although they expressed dissatisfaction in referral procedure, most of them answered they had been satisfied with hospice care at referred institute after referral. Merits of referral which responders counted were patient's peace, caring family's comfort and reduced cost in order. Of the 35 referred institutes, 24 institutes' staffs responded mail questionnaires and sent to us in return. Except one responder, the rest approved the referral system and thought that referred patients had been satisfied with their hospice care. And they claimed that systemic support of the government is definitely necessary. The most difficult thing which responders experienced in care of referred patients was lack of information about patients. Besides, there were patient's financial problems, lack of understanding about their institutes of patients or family, and inconvenience of terminal cancer patient's pain control. Conclusion : The development and support of the organized referral system is needed to alleviate the troubles which patients, family members, and palliative or hospice institutes and hospitals have to face through the procedure of the referral.

• Tuberculosis and Respiratory Diseases
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• v.56 no.1
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• pp.67-76
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• 2004

Background : Pulmonary hypertension is a poor prognostic factor in patients with chronic respiratory disease. However, diagnosing pulmonary hypertension is a difficult procedure which often requires an invasive test. Thus new alternative biochemical markers would be useful in clinical field and are in search. We sought to assess the role of plasma N-terminal pro-brain natriuretic peptide(NT-proBNP) in patients with pulmonary hypertension. Method : We measured plasma NT-proBNP level in twenty nine patients suspected for pulmonary hypertension. Pulmonary hypertension was defined as being right ventricular systolic pressure more than 35 mm Hg estimated by Doppler echocardiography. Plasma NT-proBNP level was measured by electrochemiluminescence sandwich immunoassay. Results : The log-transformed values for plasma NT-proBNP levels showed a linear correlation (correlation coefficiency: 0.783, p-value <0.001) with right ventricular systolic pressure. Plasma NT-proBNP levels closely correlated with right ventricular systolic pressure, right ventricular hypertrophy, interventricular septal flattening and right ventricular dilatation. Conclusion : Our results suggest that the measurement of plasma NT-proBNP level is an useful marker of the presence of pulmonary hypertension.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.8
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• pp.18-25
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• 2020

With the development of water internet technology, data communication between objects is expanding. Research related to data communication technology between vehicles that incorporates related technologies into vehicles has been actively conducted. For data communication between mobile terminals, data stability, reliability, and real-time performance must be guaranteed. The 5 GHz Wi-Fi band, which is advantageous in bandwidth, communications speed, and wireless saturation of the wireless network, was selected as the data communications network between vehicles. This study analyzes how to design and implement a 5 GHz Wi-Fi network in a vehicle network. Considering the characteristics of the mobile communication terminal device, a continuous variable communications structure is proposed to enable high-speed data switching. We simplify the access point access procedure to reduce the latency between wireless terminals. By limiting the Transmission Control Protocol Internet Protocol (TCP/IP)-based Dynamic Host Configuration Protocol (DHCP) server function and implementing it in a broadcast transmission protocol method, communication delay between terminal devices is improved. Compared to the general commercial Wi-Fi communication method, the connection operation and response speed have been improved by five seconds or more. Utilizing this method can be applied to various types of event data communication between vehicles. It can also be extended to wireless data-based intelligent road networks and systems for autonomous driving.

• Journal of KIISE:Information Networking
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• v.28 no.4
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• pp.527-539
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• 2001

The wireless asynchronous transfer mode (ATM) system has the advantage of providing the broadband services with various quality-of-service requirements to the mobile terminal efficiently by utilizing the ATM technology developed for the wired ATM system. The available bit rate (ABR) service among various ATM services utilizes the available bandwidth remaining in the ATM link, which allows the efficient bandwidth usage. During the handoff of the mobile terminal, however, the queue length in the access point (AP) which resides in the boundary of the wired ATM network and the wireless ATM network may increase abruptly. In this paper, we propose a scheme which prevents the buffer-overflow and buffer-underflow in the AP during the handoff of the wireless ABR connection in the wireless ATM system using binary feedback rate-based ABR traffic control. This scheme controls the source's cell generation rate during both handoff period and some time interval after the completion of the handoff procedure. The simulation results show that the proposed scheme prevents the buffer-overflow and buffer-underflow. The proposed scheme can contribute to increasing the throughput of the wireless ABR service during handoff by preventing the buffer overflow and underflow during handoff period.

• Journal of the Institute of Electronics Engineers of Korea TC
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• v.46 no.5
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• pp.146-153
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• 2009

Recently, the research relative to NGN(Next Generation Network) is progressing in 3GPP(The 3rd Generation Partnership Progect), IETF(Internet Engineering Task Force), and so on. Although user needs frequently mobility which is various service pattern, In accordance with the development of these various applications, IMS(IP Multimedia Subsystem) and hierarchical networks ie, Femtocell/WiBro/3G etc is constructed for more user demands which provide service in anytime, anywhere. It is necessary to optimum network selection criterion which consider to wireless signal quality add to user service profile and service network traffic balance. NGN also needs a method to perform heterogeneous handover and to constraint Ping-pong phenomenon when using existing terminal-based handover decision. This paper proposes scheme for network selection and heterogeneous handover procedure in hierarchical wireless multi-access network based on SIP-MIH(Session Initiation Protocol-Media Independent Handover) with IMS by using user service profile that the considerations are dealing with not only selection and registration of various access network but also easy of developing the terminal.